Smiles Dental Group, PC

Smiles Dental Group, PC was paid $371K by Medicaid between Jan 2018 and Oct 2021, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	15,235	$343K
2021	1,643	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	990	615	$60K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	2,011	2,002	$43K
D1120	Dental cleaning, childProphylaxis - child	9.0%	1,527	1,514	$33K
D7240	Removal of impacted tooth - completely bony	8.9%	225	62	$33K
D2391	Resin-based composite - one surface, posterior, primary or permanent	8.3%	639	397	$31K
D1206	Topical application of fluoride varnish	7.1%	1,985	1,972	$26K
D1110	Prophylaxis - adult	6.9%	737	737	$25K
D0272	Bitewings - two radiographic images	5.1%	1,881	1,873	$19K
D0220	Intraoral - periapical first radiographic image	4.8%	2,268	2,243	$18K
D1351	Sealant - per tooth	4.6%	866	294	$17K
D9243		3.5%	200	66	$13K
D0150	Comprehensive oral evaluation - new or established patient	2.1%	236	233	$8K

12 more codes

D7140	Extraction, erupted tooth or exposed root	2.0%	136	$8K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.9%	107	$7K
D3330	Endodontic therapy, molar tooth (excluding final restoration)	1.9%	13	$7K
D0230	Intraoral - periapical each additional radiographic image	1.5%	2,303	$6K
D0330	Panoramic radiographic image	<1%	114	$4K
D0140	Limited oral evaluation - problem focused	<1%	161	$3K
D9239		<1%	51	$3K
D9920		<1%	95	$2K
D1208	Topical application of fluoride, excluding varnish	<1%	195	$2K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	96	$2K
D9999	Unspecified adjunctive procedure, by report	<1%	29	$799.82
D9612		<1%	13	$478.92

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialTHOMPSON, FREDRICK (CHIEF DENTAL OFFICER)